Active NPI
Kiesha Harris
- Family Nurse Practitioner
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 29259
- Practice address
- 1150 Dovecrest Rd
Memphis, TN 38134-7621 - Phone
- (502) 259-0196
- Fax
- (502) 259-0196
- NPI assigned
- Mar 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 29259 | TN | Primary |
Addresses
Primary practice location
1150 Dovecrest Rd
Memphis, TN 38134-7621
Mailing address
PO Box 746725
Atlanta, GA 30374-6725
Phone (833) 804-1695
Other practice location 1
5339 Elvis Presley Blvd
Memphis, TN 38116-8243
Phone (901) 504-7002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
493 Dr ML King Jr Ave
Memphis, TN 38126-2548
Phone (901) 526-0802
Hospital & facility affiliations
- Baptist Memorial Hospital
- Saint Francis Bartlett Medical Center
- Methodist Hospitals of Memphis
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29259 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foner Med, PLLC | Current | Accepting new patients | |
| Cogent Healthcare of Tennessee, PC | Current | Accepting new patients | |
| The Little Clinic of Tennessee LLC | Family | Current | Accepting new patients |
| SHC Medical Partners of Tennessee, LLC | Current | Accepting new patients | |
| Crossroads Hospice of Tennessee | Current | Accepting new patients | |
| Crossroads Hospice of Tennessee, LLC | Past | Accepting new patients |
Locations
805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438
12201 Bluegrass Pkwy
Louisville, KY 40299
Phone (502) 568-7364
805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000
10810 E 45th St
Ste 300
Tulsa, OK 74146
240 New Byhalia Rd
Collierville, TN 38017
Phone (901) 492-4920
400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410
493 Dr Ml King Jr Ave
Memphis, TN 38126
Phone (901) 526-0802
1669 Shelby Oaks Dr N
Ste 106
Memphis, TN 38134
Phone (901) 382-9292
3444 Plaza Ave
Memphis, TN 38111
Phone (901) 324-1013
6025 E Primacy Pkwy
Memphis, TN 38119
Phone (601) 917-2619
5130 Stage Rd
Memphis, TN 38134
Phone (844) 373-3700
1150 Dovecrest Rd
Memphis, TN 38134
Phone (901) 304-8524
2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140
415 Cole Dr
Pigeon Forge, TN 37863
Phone (865) 428-5454
Interoperability endpoints
- https://api.platform.athenahealth.com/15660/brand/1/csg/1/fhir/r4
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Memphis, TN
- NPI 1396192746
-
- Internal Medicine Physician
- Dyersburg, TN
- NPI 1952654246
-
- Community Based Hospice Care Agency
- Memphis, TN
- NPI 1316982739
-
- Nurse Practitioner
- Mountain City, TN
- NPI 1609051895
-
- Family Nurse Practitioner
- White House, TN
- NPI 1487848800
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Memphis, TN
- NPI 1750098190
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
-
- Children's Hospital
- Memphis, TN
- NPI 1386709871
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
-
- Children's Hospital
- Germantown, TN
- NPI 1649654450
-
- General Acute Care Hospital
- Bartlett, TN
- NPI 1811929151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1780262014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746725",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746725",
"telephone_number": "833-804-1695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 DOVECREST RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381347621",
"telephone_number": "502-259-0196",
"fax_number": "502-259-0196"
}
],
"practiceLocations": [
{
"address_1": "5339 Elvis Presley Blvd",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381168243",
"country_code": "US",
"telephone_number": "901-504-7002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRIS",
"first_name": "KIESHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-30",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "29259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.